NATURAL PRODUCT AS THE STORAGE MEDIUM FOR AN AVULSED TOOTH – A SYSTEMATIC REVIEW

Abstract

Dental avulsion is considered as one of the most severe types of traumatic toothinjuries because it causes damage to several structures and results in the completedisplacement of the tooth from its socket in the alveolar bone. The ideal situation is toreplant the tooth immediately after avulsion because the extra oral time is animportant determinant for the success of the treatment and for a good prognosis. Theaim of this systematic review was to identify the recommended natural storage m tostore and transport avulsed tooth based on the survival capacity of periodontalligament cells.This paper reviews the different storage media that have been evaluated for avulsedteeth based on full-length research papers retrieved from PubMed/Medline, Lilacs,BBO and SciELO electronic databases using the key words ‘storage medium’,‘avulsion’, ‘tooth avulsion’, ‘replantation’, ‘tooth replantation’, ‘milk’ and ‘propolis’.Based on the application of inclusion and exclusion criteria, about 14 papers havebeen selected and critically reviewed with respect to the characteristics, efficacy andease of access of the storage media. The review of this study shows and includes awide array of wet storage media that have been evaluated in laboratory-based studieson PDL cells found on adult permanent teeth.Among the natural products other than milk, propolis, coconut water, green teaextract, egg white, green tea extract, Alovera gel, pomegranate juice, salvia officinalisfollowed by dragon blood sap (Croton Lechleri) were recommended based on the cellviability and its longevity. In an emergency, it is important for dentists to consider thecircumstances of the accident, the location and suggest an appropriate transportmedia.